| Regimental number | 49671 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs Miriam Douglas, Mangatera |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 28th Reinforcements (First Draft), Specialists Company, Machine Gun Section |
| Embarkation details | Unit embarked from Wellington on board HMNZT 89 Waitemata on |
| Sources | Nominal Roll Vol. 3: Roll 69, p. 17 |